Carson Adult Foster Care, Inc.
Organization Active NPI Contractor · Detroit, MI
NPI 1619059573 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1619059573
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Contractor 171W00000X
- License
- AM8220009843 (MI)
- Legal business name
- CARSON ADULT FOSTER CARE, INC.
- Practice address
- 19384 James Couzens Fwy
Detroit, MI 48235-1961 - Phone
- (313) 863-7050
- Fax
- (313) 863-1524
- NPI assigned
- Oct 19, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Johnny Carson Jr.
- Title
- President
- Phone
- (313) 863-7050
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Carson Adult Foster Care Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor |
171W00000X | AM8220009843 | MI | Yes |
Addresses
Primary practice location
19384 James Couzens Fwy
Detroit, MI 48235-1961
Mailing address
19384 James Couzens Fwy
Detroit, MI 48235-1961
Phone (313) 863-7050
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.